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Leslie Wagner, PH.D
NPI 1013033398 · on the registry since 2007 · sole proprietor
Practice
- Address
- 533 Saint Clair St
Grosse Pointe, MI 48230 - Phone
- (313) 978-7792
- Fax
- (313) 936-1084
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Also registered as
- Clinical Psychologist
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan